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QUALIFICATIONS APPLICATION EARLY CARE and EDUCATION CENTERS Name: _______________________________________ Date: _________________________________ Social Security Number: _________________________ Home/cell phone: _______________________ Home Address: ________________________________ Work phone: ___________________________ _________________________________ E-Mail: _______________________________ Current or Perspective Employer: __________________________________________________________ Select one position you wish to apply for along with how you meet the education requirement. Please refer to Delacare rules for all requirements to qualify for each position. Documentation of age, education and experience must accompany this form and be sent to address on back. Please send copies of training certificates, originals will not be returned. Official transcripts (in a sealed envelope from college/university) are required for college coursework or degrees. No faxes will be accepted. Please see back for additional positions ____ EARLY CHILDHOOD INTERN (Rule #27.10) _____ Successful completion of at least 15 clock hours of quality assured training in early care and education OR _____ 3 college credits in ECE _____ EARLY CHILDHOOD ASSISTANT TEACHER (Rule #27.8) _____ High school/equivalent Name/location: ______________________ year graduated: _____ AND (check appropriate one) _____ TECE 1 _____ Successful completion Early Childhood High School Career Path _____ 6 college credits in ECE _____ EARLY CHILDHOOD TEACHER (Rule #27.7) _____ High school/equivalent Name/location: ______________________ year graduated: _____ AND (check appropriate one) _____ TECE 1 and TECE 2 _____ CDA-Expiration date: ______________ _____ Early Childhood Apprenticeship Journey Person’s Certificate _____ 9 college credits in ECE (must be in early childhood education, child development, and positive behavior management) _____ Three year Vocational/technical high school program _____ Montessori Infant and Toddler Full/Associate Credential _____ Montessori Early Childhood Full/Associate Credential _____ Early Childhood diploma program from 2 year college _____ Associate degree with 6 credits in early childhood development or early childhood education _____ Bachelor degree with 6 credits in early childhood development or early childhood education

QUALIFICATIONS APPLICATION EARLY CARE and · PDF fileQUALIFICATIONS APPLICATION EARLY CARE and EDUCATION ... Please send copies of training ... _____ An Associate degree in early childhood

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Page 1: QUALIFICATIONS APPLICATION EARLY CARE and · PDF fileQUALIFICATIONS APPLICATION EARLY CARE and EDUCATION ... Please send copies of training ... _____ An Associate degree in early childhood

QUALIFICATIONS APPLICATION

EARLY CARE and EDUCATION CENTERS

Name: _______________________________________ Date: _________________________________

Social Security Number: _________________________ Home/cell phone: _______________________

Home Address: ________________________________ Work phone: ___________________________

_________________________________ E-Mail: _______________________________

Current or Perspective Employer: __________________________________________________________

Select one position you wish to apply for along with how you meet the education requirement. Please refer to

Delacare rules for all requirements to qualify for each position. Documentation of age, education and

experience must accompany this form and be sent to address on back. Please send copies of training

certificates, originals will not be returned. Official transcripts (in a sealed envelope from college/university) are

required for college coursework or degrees. No faxes will be accepted.

Please see back for additional positions

____ EARLY CHILDHOOD INTERN (Rule #27.10)

_____ Successful completion of at least 15 clock hours of quality assured training in early care and

education OR

_____ 3 college credits in ECE

_____ EARLY CHILDHOOD ASSISTANT TEACHER (Rule #27.8)

_____ High school/equivalent – Name/location: ______________________ year graduated: _____

AND (check appropriate one)

_____ TECE 1

_____ Successful completion Early Childhood High School Career Path

_____ 6 college credits in ECE

_____ EARLY CHILDHOOD TEACHER (Rule #27.7)

_____ High school/equivalent – Name/location: ______________________ year graduated: _____

AND (check appropriate one)

_____ TECE 1 and TECE 2

_____ CDA-Expiration date: ______________

_____ Early Childhood Apprenticeship Journey Person’s Certificate

_____ 9 college credits in ECE (must be in early childhood education, child development, and

positive behavior management)

_____ Three year Vocational/technical high school program

_____ Montessori Infant and Toddler Full/Associate Credential

_____ Montessori Early Childhood Full/Associate Credential

_____ Early Childhood diploma program from 2 year college

_____ Associate degree with 6 credits in early childhood development or early childhood education

_____ Bachelor degree with 6 credits in early childhood development or early childhood education

Page 2: QUALIFICATIONS APPLICATION EARLY CARE and · PDF fileQUALIFICATIONS APPLICATION EARLY CARE and EDUCATION ... Please send copies of training ... _____ An Associate degree in early childhood

I understand that information regarding my qualification level may be shared.

I hereby swear/affirm that the information provided in this document is a full and complete disclosure of the

facts required, and the information is true and correct to the best of my knowledge.

____________________________________________________________ _________________________ Signature of Applicant Date

Note: 27.3.2 In the event that false qualifications documentation is submitted to the OCCL or its designee, the applicant will be

notified that the applicant will be unable to submit new or updated documentation for one year.

Send completed packet to the following address:

DE Department of Education/Delaware First

John G. Townsend Building

401 Federal Street, Suite #2

Dover, DE 19901-3639

Completed packet must include the following documents:

Signed Qualifications Application for Early Care and Education

Verification of Experience form (signed by employer)

Copy of high school/equivalent (for Assistant Teacher/Teacher positions)

Photocopy of driver’s license or other identification documenting proof of age

Copies of diplomas and training certificates to document training

Official college transcripts or documentation of degrees (in a sealed envelope from college/university)

If sending transcript separately, it must be marked “Attn: Delaware First”

_____ EARLY CHILDHOOD CURRICULUM COORDINATOR (Rule #27.5)

_____ High school/equivalent – School/location ________________________ year graduated: ____

AND 15 college credits in early childhood education (including 6 curriculum credits)

OR

_____ An Associate degree in early childhood education or related degree with 15 credits in early

childhood (including 6 credits in early childhood curriculum development and planning)

_____ A Bachelor degree with in early childhood education or related degree 15 credits in early

childhood education (including 6 credits in early childhood curriculum development and

planning)

_____ EARLY CHILDHOOD ADMINISTRATOR (Rule #27.4)

_____ An Associate or Bachelor’s degree from a regionally accredited college or university with 15

college credits with at least 3 credits in each: child development/learning,

environment/curriculum, social-emotional development, observation/assessment; and one

three credit elective in early childhood

SPECIALTY TRAINING (Rule #27.6)

_____ Administration

_____ Infant and/or toddler development

_____ School-Age Care

CAREER LATTICE (check if you are only applying for a career lattice)